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MR. CHRISTOPHER BRADLEY LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
310 TAUGHANNOCK BLVD STE 1A, ITHACA, NY 14850-3251
(607) 277-6620
(607) 277-2533
Mailing address
141 CEDAR LN, GROTON, NY 13073-1311
(607) 330-2106
(607) 333-7925

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OH000163
PA
224P00000X
Prosthetist
Primary
PO000109
PA

Other

Enumeration date
02/16/2024
Last updated
02/16/2024
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